MICHAEL D DEWALD (M.D.) – Diagnostic Radiology Physician, NPI 1164486528

MICHAEL D DEWALD (M.D.) is a healthcare provider. based in Lincoln, Nebraska. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 19716 (NE). The NPI Number for MICHAEL D DEWALD (M.D.) is 1164486528

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL D DEWALD (M.D.)
NPI
1164486528
Phone
(402) 484-6677
Address
7601 PIONEERS BLVD
Enumeration Date
13 April 2006
Last Update Date
16 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024846677
Graduation Year
1992 (34 years ago)
PAC ID
2466427307
Group Practice PAC ID
5698735181
Professional Enrollment ID
I20240626004378
Address ID
CO805179078ES450XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

248 DIAGNOSTIC RADIOLOGY in NE

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Provider Addresses for MICHAEL D DEWALD (M.D.)

  • Pioneers Boulevard, Lincoln, Lancaster County, Nebraska, 68506, United States

    LINCOLN, NE 685064675

    Phone: (402) 484-6677

    Fax: (402) 484-4476

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090616000162IDiagnostic RadiologyNETBD
I20161122000539IDiagnostic RadiologyIATBD
I20240626004378IDiagnostic RadiologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml23,030126$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml9,01689$0
77067Screening mammography496496$0
77063Screening 3d breast mammography489489$0
71046X-ray of chest, 2 views360354$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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Provider's Procedures

MICHAEL D DEWALD (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNE20610Aspiration and/or injection of large joint or joint capsule1212
DIAGNOSTIC RADIOLOGYNE71010X-ray of chest, 1 view, front451416
DIAGNOSTIC RADIOLOGYNE71250CT scan chest8685
DIAGNOSTIC RADIOLOGYNE73562X-ray of knee, 3 views5248
DIAGNOSTIC RADIOLOGYNE73630X-ray of foot, minimum of 3 views6359
DIAGNOSTIC RADIOLOGYNE74177CT scan of abdomen and pelvis with contrast198195
DIAGNOSTIC RADIOLOGYNE76830Ultrasound pelvis through vagina2322
DIAGNOSTIC RADIOLOGYNE78815Nuclear medicine study with CT imaging skull base to mid-thigh2020
DIAGNOSTIC RADIOLOGYNE93922Ultrasound study of arteries of both arms and legs1414
DIAGNOSTIC RADIOLOGYNE93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698735181View full group profile
NameSpecialtyState
Diagnostic RadiologyNE
-NE
Nurse PractitionerNE
-NE
Diagnostic RadiologyMN
Interventional Radiology, Diagnostic RadiologyNE
Diagnostic RadiologyFL
Diagnostic RadiologyNE
Diagnostic RadiologyNE
Diagnostic RadiologyNE

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Frequently asked questions

Can I verify MICHAEL D DEWALD (M.D.) with an NPI only?
You can start verification with NPI 1164486528 for MICHAEL D DEWALD (M.D.), then check state licensing separately.
Can I rely on MICHAEL D DEWALD (M.D.) being an active provider?
As of the registry snapshot, MICHAEL D DEWALD (M.D.) is marked active.
What is MICHAEL D DEWALD (M.D.)'s specialty?
The listing groups MICHAEL D DEWALD (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL D DEWALD (M.D.) on a map?
Expect Lincoln, Nebraska as a primary anchor for MICHAEL D DEWALD (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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